GREAT LAKES PHYSICIAN PRACTICE PC (NPI# 1548668585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548668585 |
| Entity Type | Organization |
| Organization Name | GREAT LAKES PHYSICIAN PRACTICE PC |
| Other Organization Name | ERAM CHAUDHRY MD |
| Practice Address |
113 Main St Silver Creek NY 14136-1452 |
| Practice Telephone | 7169343641 |
| Practice Fax Number | 7169347443 |
| Mailing Telephone | 7169343641 |
| Mailing Fax Number | 7169347443 |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |
| Authorized Official Name | MARK T EHALT (DIRECTOR) |
| Authorized Official Telephone | 4126470943 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| ERAM CHAUDHRY MD | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730599176 | Great Lakes Physician Practice PC | Internal Medicine | 15 S Main St, Jamestown, NY 14701-6626 | 2014-05-07 |
| Street Address |
113 MAIN ST |
| City | SILVER CREEK |
| State | NY |
| Zip Code | 14136-1452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578941126 | Xuan Huy Phan | Internal Medicine | 113 Main St, Silver Creek, NY 14136 | 2015-05-15 |
| 1235476219 | Lisa Ann Barrett | Nurse Practitioner | 113 Main St, Silver Creek, NY 14136-1452 | 2013-01-10 |
| 1316195696 | Wayra Ysi Salazar Moreno | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2008-08-29 |
| 1942303029 | Carl Roth | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-09-06 |
| 1033212907 | Barnes Primary Care Associates, P.C. | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-09-06 |
| 1336242387 | Thomas Mcternan | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-09-06 |
| 1285644880 | Eram Chaudhry | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-08-08 |
| 1295758860 | Steven Edmund Barnes | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912533365 | Village of Silver Creek | Ambulance | 172 Central Avenue, Silver Creek, NY 14136 | 2020-03-18 |
| 1114374352 | Michelle Christian | Counselor | 1079 Main Rd, Silver Creek, NY 14136 | 2016-05-18 |
| 1073959391 | Fresh Start Mental Health Counseling Pllc | Counselor | 71 Main St, Silver Creek, NY 14136 | 2013-05-14 |
| 1962629550 | Jacquelyn Mary Sackett | Speech-Language Pathologist | 87 Main Street, Silver Creek, NY 14136 | 2007-04-18 |
| 1528110483 | Zdenka Safar | Pediatrics | 194 Central Ave, Silver Creek, NY 14136 | 2007-01-18 |
| 1154307171 | Olina M Dulak | Dentist | 195 Central Ave, Silver Creek, NY 14136 | 2005-12-21 |
| 1366580326 | Silver Creek Csd | Local Education Agency (LEA) | 1 Dickinson Street, Silver Creek, NY 14136-0270 | 2007-02-02 |
| 1235677436 | Mercedes Carmona | Registered Nurse | 11 Rumsey St, Silver Creek, NY 14136-1025 | 2017-02-07 |
| 1841842705 | Daniel Wayne Ramsey | Registered Nurse | 11 Rumsey St, Silver Creek, NY 14136-1025 | 2019-07-11 |
| 1053864793 | Chelsey Kaminski | Physical Therapist | 1476 Buffalo St, Silver Creek, NY 14136-1120 | 2016-07-29 |
| Find all providers in zip 14136 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578941126 | Xuan Huy Phan | Internal Medicine | 113 Main St, Silver Creek, NY 14136 | 2015-05-15 |
| 1316195696 | Wayra Ysi Salazar Moreno | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2008-08-29 |
| 1942303029 | Carl Roth | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-09-06 |
| 1033212907 | Barnes Primary Care Associates, P.C. | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-09-06 |
| 1336242387 | Thomas Mcternan | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-09-06 |
| 1295758860 | Steven Edmund Barnes | Internal Medicine | 113 Main St, Silver Creek, NY 14136-1452 | 2006-07-25 |
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|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1578177929 | Ar Personal Medical Care P.C. | Internal Medicine | 4102 75th Street, Elmhurst, NY 11373-3745 | 2020-09-03 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
| Find all providers with the same taxonomy | ||||
| City | SILVER CREEK |
| Zip Code | 14136 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.